A qualitative application of temporal self-regulation theory to understand adherence to simple and complex medication regimens

Medication adherence is a global health concern, and variables of temporal self-regulation theory (TST) have been shown to be important in improving adherence. This qualitative study aims to explore how TST can help explain medication adherence in people’s daily lives, and whether there are differen...

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Main Authors: Liddelow, Caitlin, Mullan, Barbara, Boyes, Mark, McBride, H.
Format: Journal Article
Language:English
Published: MDPI 2020
Subjects:
Online Access:http://purl.org/au-research/grants/nhmrc/1173043
http://hdl.handle.net/20.500.11937/91320
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author Liddelow, Caitlin
Mullan, Barbara
Boyes, Mark
McBride, H.
author_facet Liddelow, Caitlin
Mullan, Barbara
Boyes, Mark
McBride, H.
author_sort Liddelow, Caitlin
building Curtin Institutional Repository
collection Online Access
description Medication adherence is a global health concern, and variables of temporal self-regulation theory (TST) have been shown to be important in improving adherence. This qualitative study aims to explore how TST can help explain medication adherence in people’s daily lives, and whether there are differences in the adherence to simple and complex medication regimens. Twenty-nine participants from Australia engaged in semi-structured interviews based on TST (intention, behavioural prepotency, self-regulation), and other variables important to adherence. Interviews were analysed using thematic analysis. Six themes were identified (Routines, External Supports, Cost, Sense of Agency, Adverse Outcomes, and Weighing Up Pros and Cons), with partial support for TST (specifically intention, past behaviour, cues and planning). Four themes not related to TST were also identified. Individuals with more complex medication regimens spoke of the importance of routines, planning, and knowledge-seeking, whereas those with simpler regimens spoke of the importance of visual cues. TST may be useful for identifying some variables important in medication adherence, however, additional factors were also identified. For simple regimens, future research should focus on the manipulation of visual cues. For complex regimens, health professionals should consider supporting the use of medication management apps to assist in planning and ensuring a consistent routine.
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spelling curtin-20.500.11937-913202023-04-19T07:02:34Z A qualitative application of temporal self-regulation theory to understand adherence to simple and complex medication regimens Liddelow, Caitlin Mullan, Barbara Boyes, Mark McBride, H. Science & Technology Life Sciences & Biomedicine Health Care Sciences & Services Health Policy & Services temporal self-regulation theory medication adherence complexity routines cues planning INTERVENTIONS NONADHERENCE PSYCHOLOGY ATTITUDES ROUTINES HABITS complexity cues medication adherence planning routines temporal self-regulation theory Medication adherence is a global health concern, and variables of temporal self-regulation theory (TST) have been shown to be important in improving adherence. This qualitative study aims to explore how TST can help explain medication adherence in people’s daily lives, and whether there are differences in the adherence to simple and complex medication regimens. Twenty-nine participants from Australia engaged in semi-structured interviews based on TST (intention, behavioural prepotency, self-regulation), and other variables important to adherence. Interviews were analysed using thematic analysis. Six themes were identified (Routines, External Supports, Cost, Sense of Agency, Adverse Outcomes, and Weighing Up Pros and Cons), with partial support for TST (specifically intention, past behaviour, cues and planning). Four themes not related to TST were also identified. Individuals with more complex medication regimens spoke of the importance of routines, planning, and knowledge-seeking, whereas those with simpler regimens spoke of the importance of visual cues. TST may be useful for identifying some variables important in medication adherence, however, additional factors were also identified. For simple regimens, future research should focus on the manipulation of visual cues. For complex regimens, health professionals should consider supporting the use of medication management apps to assist in planning and ensuring a consistent routine. 2020 Journal Article http://hdl.handle.net/20.500.11937/91320 10.3390/healthcare8040487 English http://purl.org/au-research/grants/nhmrc/1173043 http://creativecommons.org/licenses/by/4.0/ MDPI fulltext
spellingShingle Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Health Policy & Services
temporal self-regulation theory
medication adherence
complexity
routines
cues
planning
INTERVENTIONS
NONADHERENCE
PSYCHOLOGY
ATTITUDES
ROUTINES
HABITS
complexity
cues
medication adherence
planning
routines
temporal self-regulation theory
Liddelow, Caitlin
Mullan, Barbara
Boyes, Mark
McBride, H.
A qualitative application of temporal self-regulation theory to understand adherence to simple and complex medication regimens
title A qualitative application of temporal self-regulation theory to understand adherence to simple and complex medication regimens
title_full A qualitative application of temporal self-regulation theory to understand adherence to simple and complex medication regimens
title_fullStr A qualitative application of temporal self-regulation theory to understand adherence to simple and complex medication regimens
title_full_unstemmed A qualitative application of temporal self-regulation theory to understand adherence to simple and complex medication regimens
title_short A qualitative application of temporal self-regulation theory to understand adherence to simple and complex medication regimens
title_sort qualitative application of temporal self-regulation theory to understand adherence to simple and complex medication regimens
topic Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Health Policy & Services
temporal self-regulation theory
medication adherence
complexity
routines
cues
planning
INTERVENTIONS
NONADHERENCE
PSYCHOLOGY
ATTITUDES
ROUTINES
HABITS
complexity
cues
medication adherence
planning
routines
temporal self-regulation theory
url http://purl.org/au-research/grants/nhmrc/1173043
http://hdl.handle.net/20.500.11937/91320